TCEA Enrollment 2018-2019
Capitol Encore Enrollment Form: 2018-2019

During open enrollment, January 16th to March 2nd, all applications received are considered the same priority level. If more applications are received than space available, we will notify you that your student will be placed into a random selection lottery to be held on March 7th. Exceptions are Sibling, Staff, and Board member preferences. Notification of being selected does not guarantee your spot. You must then register your student in the school. Once you have been notified you will have 72 hours to arrange pick-up of your registration packet.

Applicant Information: 2018-2019
*Please enter ALL information as listed on student's birth certificate
Student Last Name *
Your answer
Student First Name *
Your answer
Student Middle Name
Your answer
Address *
Your answer
City *
Your answer
State *
Zip *
Your answer
Primary Phone Number *
(xxx) xxx-xxxx
Your answer
Temporary Residence? *
Date of Birth *
(Please know for Kindergarten, student must be 5 BEFORE September 1st)
MM
/
DD
/
YYYY
Student is currently under disciplinary review or suspension procedures at current school? *
(If Yes, please provide documentation.)
Has Student been expelled in the past 180 days? *
(If Yes, please provide documentation.)
Grade Level *
*As of August 2018 - UPCOMING FALL
Parent/Guardian Information: For Contact Purposes
Parent/Legal Guardian Name *
First AND Last Name
Your answer
Relationship *
Your answer
Address *
Street
Your answer
City *
Your answer
State *
Zip *
Your answer
Primary Phone Number *
(xxx) xxx-xxxx
Your answer
Secondary Phone Number
(xxx) xxx-xxxx
Your answer
Work Phone Number
(If Applicable) (xxx) xxx-xxxx
Your answer
Email Address *
Your answer
Student Resides With: *
My student has a sibling who is currently attending Encore OR will be enrolling for the FALL of 2018
(IF Yes, and is not currently enrolled, please fill out a separate application for sibling)
I believe my student qualifies for enrollment preference. *
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